Academic literature on the topic 'Surgeons Attitudes'

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Journal articles on the topic "Surgeons Attitudes"

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Basu, Narendra Nath, Mariska Den Heijer, Christi J. van Asperen, Hilary Harris, Irmgard Nippert, Joerg Schmidtke, Anne Deborah Bouhnik, et al. "Breast surgeons' attitudes towards bilateral risk-reducing mastectomy: A National Survey of American Surgeons." Journal of Clinical Oncology 33, no. 28_suppl (October 1, 2015): 25. http://dx.doi.org/10.1200/jco.2015.33.28_suppl.25.

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25 Background: Bilateral risk-reducing mastectomy (BRRM) confers the greatest risk-reduction in women at high-risk of developing breast cancer. Uptake of BRRM is influenced by the attitudes of these women as well as the breast surgeons offering these procedures. We surveyed surgeon members of the American Society of Breast Surgeons to assess their attitudes and knowledge. Methods: An International Cancer Risk Communication Study (InCRisC) questionnaire, previously used to assess attitudes of European physicians and surgeons was sent to 2648 members. Personal and occupational characteristics were recorded and knowledge of cancer genetics and attitudes to BRRM were assessed using clinical vignettes. Results: 439 breast surgeons responded. 98% of surgeons actively took a family history of the father. Almost 100% of surgeons reported a positive attitude towards BRRM. Female surgeons and those treating greater than 100 breast cancers a year were predictors of knowledge of breast cancer genetics and a positive attitude towards BRRM. Conclusions: Multiple factors contribute to surgeons' attitudes towards BRRM. Gender of surgeon and workload contribute to theses observed variations.
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Major, Kevin, Yukiharu Hayase, Dana Balderrama, and Alan T. Lefor. "Attitudes regarding surgeons’ attire." American Journal of Surgery 190, no. 1 (July 2005): 103–6. http://dx.doi.org/10.1016/j.amjsurg.2005.04.003.

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Katz, Steven J., Monica Morrow, Sarah T. Hawley, and Reshma Jagsi. "Surgeon influence on receipt of contralateral prophylactic mastectomy for breast cancer." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): e18145-e18145. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e18145.

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e18145 Background: Rates of contralateral prophylactic mastectomy (CPM) have markedly increased but virtually nothing is known about the influence of surgeons on variability of the procedure in the community. We quantified the influence of attending surgeon on rates of CPM and clinician attitudes that explained it. Methods: Population-based sample of 7810 patients newly diagnosed with curable breast cancer (BC) in Georgia and Los Angeles County treated in 2013-15 were surveyed (response rate 70%, n = 5018) and responses were linked to 488 attending surgeons through patient report. Surveys were sent to surgeons towards the end of the patient data collection period and 377 completed them (response 77%). We linked 3718 respondent patients with unilateral disease to 365 respondent surgeons. Two surgeon attitudes scales were developed based on a scenario of a patient with early stage BC at average risk of a 2nd primary cancer: 1) favors initial breast conservation and, 2) reluctance to perform CPM if patient asks. We did multilevel analyses using information from patient and surgeon reports merged to SEER data. Results: A model including patient clinical factors and surgeon id predicted CPM extremely well as it explained 37% of the variability in the likelihood of CPM. Patient factors explained 16% of the variability but the surgeon identifier alone explained even more (21%). The odds of a patient receiving CPM increased 3-fold (95% CI 1.9, 4.7) if she saw a surgeon with a practice approach one standard deviation above a surgeon with the average CPM rate (15%). One quarter (24%) of the surgeon influence was explained by attending attitudes about initial recommendations for surgery and responses to patient requests for CPM. The rate of CPM was 34% for surgeons who least favored initial breast conservation and were least reluctant to perform CPM. By contrast, the estimated rate was 5% for surgeons who most favored initial breast conservation and were most reluctant to perform CPM if asked. Conclusions: Attending surgeons exert strong influence on the likelihood of receipt of CPM for breast cancer. Variations in surgeon attitudes about recommendation for surgery and response to patients request for CPM explain a substantial amount of this influence.
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Webster, Patricia M., and Marshall J. Duguay. "Surgeons’ Reported Attitudes and Practices regarding Alaryngeal Speech." Annals of Otology, Rhinology & Laryngology 99, no. 3 (March 1990): 197–200. http://dx.doi.org/10.1177/000348949009900307.

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Attitudes and practices of 50 prominent laryngologic surgeons were surveyed to determine current trends and implications for postoperative speech rehabilitation. Data are available for 1,003 laryngectomy operations performed over the past 3-year period by the 22 responders (44%). Those surgeons responding indicated a preference toward tracheoesophageal shunt procedures. A negative correlation was noted between the increased number of tracheoesophageal shunt procedures and the age of the surgeon. Additional responses provided information regarding personal preferences for postlaryngectomy speech types, opinions regarding artificial device use, and speech rehabilitation referral practices.
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Morrow, Monica, Steven J. Katz, and Reshma Jagsi. "Axillary management in early breast cancer: Surgeon attitudes in a population-based study." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): 561. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.561.

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561 Background: The ACOSOG Z0011 trial established the safety of omitting axillary dissection (ALND) for patients with 1‒2 sentinel node (SN) metastases having breast-conserving therapy (BCT) to reduce treatment-related morbidity. Little is known about surgeon uptake of this practice. Methods: Women with stage I and II breast cancer diagnosed between 7/13‒8/15 (n=3729) reported to the Los Angeles and Georgia SEER registries were surveyed about 2 months after diagnosis. All attending surgeons identified by the patients (n=489) were sent a questionnaire and 77% (n=377) responded. Pathology reports for SN positive patients are under review. Results: Mean surgeon age was 54 years, 25% were female, and median years in practice was 21. 49% and 63% endorsed ALND for Z0011 eligible patients with 1 or 2 SN macrometastases, respectively. Surgeons were classified as low (n=92), selective (n=178), or high (n=91) users of ALND based on responses to case scenarios with SN involvement ranging from isolated tumor cells in 1 SN (12% would do ALND) to macrometastasis in 3 SNs (92% would do ALND). 93% of high-use surgeons would perform ALND for any SN macrometastasis vs 40% of selective surgeons and 1% of low-use surgeons (p<.001). High-use surgeons were older, male, saw fewer breast cancer patients, and were less likely to discuss cases in tumor board (Table). High-ALND users were substantially less likely to endorse BCT margins of no ink on tumor (40%) than selective (63%) or low users (83%; p<.001). Conclusions: Wide variation exists in acceptance of Z011 results with one-quarter of surgeons endorsing routine ALND. Surgeons favoring ALND also endorse wider margins for BCT, suggesting an overall more aggressive surgical approach. Lower breast volume and lack of tumor board participation identify surgeons who should be targeted for educational interventions. [Table: see text]
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Esposito, Ciro, Maria Escolino, Marcela Bailez, Steve Rothenberg, Mark Davenport, Amulya Saxena, Anthony Caldamone, et al. "Malpractice in paediatric minimally invasive surgery – a current concept: Results of an international survey." Medicine, Science and the Law 57, no. 4 (October 2017): 197–204. http://dx.doi.org/10.1177/0025802417735773.

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This study aimed to assess malpractice in paediatric minimally invasive surgery (MIS), and attitudes, prevention strategies and mechanisms to support surgeons while they are under investigation. An observational, multicentric, questionnaire-based study was conducted. The survey questionnaire was sent via mail, and it comprised four sections. Twenty-four paediatric surgeons (average age 54.6 years), from 13 different countries, participated in this study. The majority had >15 years of experience in MIS. Three (12.5%) surgeons reported a total of five malpractice claims regarding their MIS activity. The reasons for the claims were a postoperative complication in 3/5 (60%) cases, a delayed/failed diagnosis in 1/5 (20%) cases and the death of the patient in 1/5 (20%) cases. The claims concluded with the absolution of the surgeon in all cases, and monetary compensation to the claimant in two (40%) cases. Eleven (45.8%) surgeons were invited as expert counsels in medico-legal actions. Medico-legal aspects have a minimal impact on the MIS activity of paediatric surgeons. In this series, claims concluded with the absolution of the surgeon in all cases, but they had a negative effect on the surgeon’s reputation and finances. A key element in supporting surgeons while they are under investigation is always to choose a surgeon who is an expert in paediatric MIS as legal counsel. A constant update on innovations in paediatric MIS and appropriate professional liability insurance may also play a key role in reducing medico-legal consequences.
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Briffa, N., and B. C. Seifert. "Surgeons' attitudes to intraoperative death." BMJ 323, no. 7308 (August 11, 2001): 341. http://dx.doi.org/10.1136/bmj.323.7308.341/a.

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Guidolin, Keegan, Woo Jin Choi, Filomena Servidio-Italiano, Fayez Quereshy, and Gonzalo Sapisochin. "Attitudes of Canadian Colorectal Cancer Care Providers towards Liver Transplantation for Colorectal Liver Metastases: A National Survey." Current Oncology 29, no. 2 (January 28, 2022): 602–12. http://dx.doi.org/10.3390/curroncol29020054.

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Up to 50% of colorectal cancer (CRC) patients develop colorectal liver metastases (CRLM). The aim of this study was to gauge the awareness and perception of liver transplantation (LT) for non-resectable CRLM, and to describe the current referral patterns and management strategies for CRLM in Canada. Surgeons who provide care for patients with CRC were invited to an online survey through the Canadian Association of General Surgeons, the Canadian Society of Colon and Rectal Surgeons, and the Canadian Society of Surgical Oncology. Thirty-seven surveys were included. The most utilized management strategy for CRLM was to refer to a hepatobiliary surgeon for assessment of metastectomy (78%), and/or refer to medical oncologists for consideration of chemotherapy (73%). Among the respondents, 84% reported that their level of knowledge about LT for CRLM was low, yet the perception of exploring the option of LT for non-resectable CRLM seemed generally favorable (81%). The decision to refer for consideration of LT for CRLM treatment seemed to depend on patient-specific factors and the local hepatobiliary surgeon’s recommendation. Providing CRC care providers with educational materials on up-to-date CRLM management may help raise the awareness of the use of LT for non-resectable CRLM.
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Yule, Steven, Rhona Flin, Simon Paterson-Brown, and Nikki Maran. "Surgeons' Attitudes to Teamwork and Safety." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 48, no. 16 (September 2004): 2045–49. http://dx.doi.org/10.1177/154193120404801655.

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Ross, Sharona B., Franka Co, Krishen Patel, Kenneth Luberice, Harold Paul, and Alexander S. Rosemurgy. "Tu2067 Nurses Attitudes Towards Women Surgeons." Gastroenterology 142, no. 5 (May 2012): S—1109. http://dx.doi.org/10.1016/s0016-5085(12)64314-5.

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Dissertations / Theses on the topic "Surgeons Attitudes"

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Lepront, Leslie. "Significations des pratiques transgressives des chirurgiens au bloc opératoire." Thesis, Paris Est, 2019. http://www.theses.fr/2019PESC0030.

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La transgression des règles est fréquente au sein des organisations. L’hôpital n’échappe pas à ce phénomène qui peut entrainer des conséquences négatives sur la sécurité des patients mais également augmenter ses coûts alors que l’État cherche à améliorer la qualité et la sécurité des soins et réduire les dépenses de santé. La littérature propose des réponses pour agir sur la transgression qu’il est possible d’agréger en deux grandes catégories : réduire, voire supprimer la transgression, car elle est dangereuse pour la sécurité des acteurs ou à l’inverse, la tolérer voire l’encourager, car elle peut être moteur d’innovations. Ces deux réponses sont focalisées sur l’enjeu du respect de la règle (sanctionner l’irrespect ou l’accepter). Sans sous-estimer cet enjeu, la réponse gestionnaire nécessite, néanmoins, de comprendre la signification des actes transgressifs : ils ne sont pas uniquement des conduites positives ou négatives ; ils ont une signification et s’inscrivent dans un échange entre acteurs. Nous faisons donc l’hypothèse que les transgressions s’expriment sous la forme d’un dialogue. Un comportement transgressif peut être défini comme un acte ponctuel en contradiction avec la règle, intentionnel, adressé et motivé ayant pour but d’exprimer quelque chose. En écho, les gestionnaires qui, souvent, édictent les règles, doivent lui apporter une réponse signifiante en retour. La transgression prend alors une forme « dialogique », au sens conversationnel du terme. Elle correspond à une façon de communiquer entre les acteurs, que les gestionnaires doivent apprendre à « décoder » afin d’y répondre de manière adaptée.Précisément, la question de recherche à laquelle la présente thèse souhaite répondre est : qu’elle(s) signification(s) est-il possible de donner aux actes transgressifs en milieu de travail, afin de permettre aux gestionnaires de pouvoir y répondre de manière adaptée ?La thèse propose une typologie de 4 types de transgression prenant une forme dialogique. La transgression fonctionnelle, auto-adressée à la conscience professionnelle de l’acteur, signifie qu'il existe un écart entre travail prescrit et travail réel ; la transgression culturelle, adressée aux pairs de l’acteur signifie qu'il cherche à être conforme à une même communauté professionnelle ; la transgression politique signifie à l'instance prescriptrice des règles que l'acteur cherche à remettre en cause le système de règles en place afin de conserver un espace de liberté et la transgression économique, auto-adressée à l'instance de plaisir de l'acteur, signifie qu'il cherche à ménager ses efforts. Quatre réponses sont proposées pour agir sur chacune des formes de transgression. Face à la transgression fonctionnelle, il convient de signifier à l’acteur qu’il est compris que la transgression vise à contribuer à la réalisation de la mission qui lui a été confiée ; face à la transgression culturelle, il convient d'accompagner les acteurs dans le changement culturel ; face à la transgression politique, il convient d'entrer en négociation avec l’acteur et face à la transgression économique, il convient de contraindre l'acteur (risque encouru/ sanction > bénéfice), car la transgression est le résultat d’une négligence
Rules transgression within organizations is frequent. Hospitals do not avoid this phenomenon, which can lead to negative consequences for patients’ safety and can also lead to cost enhancement, whereas the State is trying to increase treatment quality and security while reducing healthcare costs. Literature proposes answers to act on transgression that could be split into two categories: reduce, or even suppress transgression because it is dangerous for players’ safety, or, oppositely, tolerate it or even encourage it, because it could be an innovation motor. These two answers are focused on the issue of rules compliance (punish, disrespect, or accept it). This is understandable and central in view of the bureaucratic structure of organizations. The arbitration issue between rules utility and acceptance of transgression is, then, primordial. Without underestimating this issue, the answer must address the meaning of transgressive acts, which are not simply positive or negative behaviors. To act on transgressive behaviors, we suggest taking an approach called “dialogic,” to highlight that transgression is part of an exchange between players. Indeed, each transgressive behavior, an intentionally addressed and motivated act in opposition to rules, aims to express something, and is a bearer of addressed meaning, usually to those who enact rules, to whom the manager has to bring a significant echo in return. The notion of transgression brings back the idea of “dialogic.” It refers to a means of communication between players, which managers have to learn in order to address it correctly.In order to know how to intervene on transgressive behaviors, the act’s meaning has to be considered. Precisely, the research question to be answered is the following: What is/are the meaning(s) of transgressive acts in the work environment, thus allowing managers to suitably respond?
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Blixt, Linda, and Linnéa Sjöli. "Attityder hos operationssjuksköterskor och operatörer kan påverka risken för intraoperativa stick- och skärskador." Thesis, Umeå universitet, Institutionen för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-115274.

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Syfte. Att belysa attityder hos operationspersonal samt risken för intraoperativa stick- och skärskador. Bakgrund. Det finns flera olika tekniker för att hantera stickande och skärande instrument och olika säkerhetsprodukter som kan användas för att minimera risken för stick- och skärskador. Det finns många studier som handlar om lämpliga arbetssätt för att minimera risken för stick- och skärskador, men bara ett fåtal studier som belyser betydelsen av användarnas attityder och inställning till användande av tekniker och säkerhetsprodukter samt uppföljning och rapportering av tillbud. Metod. Studiens design är en empirisk intervjustudie med kvalitativ ansats. Semistrukturerade intervjuer utfördes med sju operationssjuksköterskor och fyra operatörer på två sjukhus i Sverige. Data insamlades oktober-december 2015. Resultat. Resultatet visar på att det finns olika attityder hos operationspersonal som kan påverka risken för stick- och skärskador, vilka redovisas under fyra olika teman: Att ha ett säkert arbetsklimat; Att skydda sig själv, medarbetare och patient; Att vara följsam till riktlinjer och arbetsrutiner samt Att vara oföljsam riktlinjer och arbetsrutiner. Slutsats. Risken för stick- och skärskador går inte att eliminera då det alltid finns riskområden som man som operationspersonal måste ta hänsyn till. Det finns mycket kunskap kring säkerhetsprodukter och tekniker som syftar till att minimera risken för stick- och skärskador men om användarens attityd får styra kanske inte dessa används på rätt sätt om ens alls. I denna studie framkommer det en antydan till att attityder hos operationspersonal kan påverka risken intraoperativa stick- och skärskador.
Aim. To illustrate the attitudes of the operating theatre personnel and the risk of intraoperative sharp injuries. Background. There are several ways to manage sharp instruments such as various techniques and safety products to minimize the risk of sharps injuries. There are many studies about working practices to minimize the risk of sharps injuries but only a few that illustrate the importance of attitudes towards techniques and safety products as well as follow up and reporting incidents. Method. The design of the study is an empirical interview study with a qualitative approach. Semi-structured interviews were conducted with seven theatre nurses and four surgeons at two hospitals in Sweden. Data collected October-December 2015. Findings. The findings show that there exists different attitudes of the operating theatre personnel that could affect the risk of sharps injuries. The finding is presented in four themes: To have a safe working environment; To protect oneself, co-worker and patient; To be compliant to guidelines and working practices and To be non-compliant to guidelines and working practices. Conclusions. The risk of sharp injuries can’t be eliminated since there is always a risk of sharp injuries which the operating theatre personnel must pay attention to. There are a lot of knowledge about safety products and techniques for minimizing the risk of sharps injuries but when the attitude of the user come into play the safety product may not be used correctly, if used at all. In this study a indication appears that the attitudes of the operating theatre personnel may be affecting the risk of intraoperative sharp injuries.
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Botha, Francois. "A study into the changing views of orthopaedic surgeons, neurosurgeons and neurologists of chiropractic in South Africa." Thesis, 2009. http://hdl.handle.net/10321/409.

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A dissertation presented to the Faculty of Health Sciences at the Durban University of Technology in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, 2009
Previously it was established that the majority of medical professions such as Orthopaedic surgeons, Neurosurgeons and Neurologists were not comfortable with the Chiropractic Profession. Changes have occurred since this perception was established so it was considered necessary to review the knowledge and perception of these three medical professions in order to ascertain any changes. Objectives The objectives were to establish the demographic factors of Orthopaedic surgeons, Neurosurgeons and Neurologists, whilst also establishing their current views and perceptions of the Chiropractic profession in South Africa in terms of their personal experience of Chiropractic, Chiropractic therapeutic efficacy, the Chiropractic scope of practice and inter-professional relations. Methods This prospective, qualitative questionnaire study required that all 478 Orthopaedic surgeons, 110 Neurosurgeons, and 101 Neurologists who were registered with the Health Professions Council of South Africa at the time receive a questionnaire. Thus a total of 689 Questionnaires were sent out for completion. Results The overall views and perceptions of participating Orthopaedic surgeons, Neurosurgeons and Neurologists regarding Chiropractic has made a positive shift in favour of developing and potentially expanding relations between these professions and the Chiropractic profession. This has been shown by the increased confidence these professions have in the Chiropractic profession both in terms of effectiveness of Chiropractic treatment for neuromusculoskeletal and other conditions, as well as the increased rate of referral between these professions and Chiropractors.
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Wortmann, Lorette Elfriede. "The perceptions of veterinary surgeons in South Africa to the role of acupuncture and homoeopathy in veterinary medicine." Thesis, 1997. http://hdl.handle.net/10321/2733.

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Dissertation approved for final submission in partial compliance with the requirements for the Masters Degree in Technology: Homoeopathy at Technikon Natal, 1997.
This study was conducted to determine the perceptions that the veterinarians in South Africa have to acupuncture and homoeopathy regarding the role that they have to play in veterinary medicine.
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Yang, Qiu Yue, and 楊秋月. "A study on the knowledge and attitudes of surgeons and ophthalmologists in medical centers in Taipei city toward the "act of human organ trasplatation"." Thesis, 1994. http://ndltd.ncl.edu.tw/handle/01296078099159363164.

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Books on the topic "Surgeons Attitudes"

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Expected miracles: Surgeons at work. Philadelphia: Temple University Press, 1991.

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Weeder, Richard S. Surgeon: The view from behind the mask. Chicago: Contemporary Books, 1988.

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Owens, Bernadette. The attitudes of consultant surgeons to the introduction of an operating theatre scheduling system. [s.l: The Author], 1996.

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The dressing station: A surgeon's chronicle of war and medicine. New York: Grove Press, 2001.

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The dressing station: A surgeon's odyssey. London: Picador, 2001.

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Siegel, Bernie. Love, medicine, & miracles: Lessons learned about self-healing from a surgeon's experience with exceptional patients. New York: Harper & Row, 1986.

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Siegel, Bernie S. Love, medicine & miracles: Lessons learned about self-healing from a surgeon's experience with exceptional patients. Boston, Mass: G.K. Hall, 1988.

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Love, medicine, & miracles: Lessons learned about self-healing from a surgeon's experience with exceptional patients. New York: Harper & Row, 1986.

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Love, medicine & miracles: Lessons learned about self-healing from a surgeon's experience with exceptional patients. New York: HarperPerennial, 1990.

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Cassell, Joan. Expected Miracles: Surgeons at Work. Temple University Press, 2010.

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Book chapters on the topic "Surgeons Attitudes"

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Fiorentino, Michele, and Sangeeta Lamba. "Communicating Serious News." In Surgical Palliative Care, 135–47. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190858360.003.0012.

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This chapter discusses the key points of communicating serious news to patients and their family members in the surgical settings. Surgeons deliver serious news in a variety of settings, such as the outpatient, inpatient, intensive care unit, and perioperative areas as well as the emergency trauma bay setting. Each setting presents some unique challenges and needs. We describe some of the best practices when delivering serious news to a patient in these situations. We also address the impact of these conversations on the surgeon, including coping with emotions and moral distress. Though effective communication skills are highly valued by surgeons, surgery training places less emphasis on building such skills as compared to teaching of procedural or technical skills. Therefore, some key knowledge, skills, and attitudes related to teaching effective communication skills to future surgeons are outlined.
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MacKechnie, Aonghus. "William Adam’s Public Buildings." In The Architecture of Scotland, 1660-1750, 483–514. Edinburgh University Press, 2020. http://dx.doi.org/10.3366/edinburgh/9781474455268.003.0025.

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William Adam was Scotland’s foremost architect during the second quarter of the eighteenth century.A supporter of the Whig ascendancy, he is primarily celebrated for his country houses, but Scotland’s civic leaders commissioned him to design many public buildings, often very ambitious in their style and scale, to cement the 1707 union and reflect their aspirations for the Scottish people, particularly those least fortunate.Adam drew inspiration from visits to England and the Low Countries, and publications by his fellow Scots, James Gibbs’ Book of Architecture and Colen Campbell’s Vitruvius Britannicus, as well as French and Italian architecture which he knew from folios; this approach reflected the attitudes of his clients, who looked beyond Scotland to better understand what characterized an Enlightened society.Some schemes were expedited through philanthropic fortunes, but elsewhere Adam’s proposals galvanized fund-raising amongst ordinary people in Scotland and abroad, gifts of building materials and voluntary labour.This chapter examines schemes for the town houses of Aberdeen, Dundee, Sanquhar and Haddington, Robert Gordon’s College and Glasgow University Library, Hamilton Parish Church, the unbuilt Surgeons’ Hospital and three major Edinburgh institutions, the Orphan Hospital, George Watson’s and the Royal Infirmary, besides identifying the Charity Workhouse as Adam’s design.
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Tan, Suyin GM, and Andy McWilliam. "The theatre team." In Handbook of Communication in Anaesthesia & Critical Care. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780199577286.003.0026.

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A core attribute of the anaesthetist is the ability to communicate effectively in a variety of difficult situations and contexts. During the course of a theatre list the anaesthetist may interact with literally dozens of people—surgeons, patients, nurses, wardspeople, radiographers, trainees, and so on. Many will be complete strangers while others may be old friends, or enemies! Virtually all of them will have some part, be it big or small, to play in achieving a safe and successful outcome for patients. Operating theatres are often busy, stressful places. Events can unfold quickly and in unpredictable ways. Tension is frequently an integral part of the process of undertaking surgical procedures. Observational studies demonstrate that communication errors are common, and result in tension, delay, and wastage— as borne out by everyday experience. There is a tendency to view communication breakdowns as an inevitable fact of theatre life. However, evidence shows that behaviours and attitudes can be altered. Improving teamwork and communication improves morale and has the potential to improve patient outcomes. Most anaesthetists view themselves as good communicators, able to deal with virtually all communication problems, yet breakdown in communication is commonly cited as a root cause of medical error. Interestingly most anaesthetists feel that their training in communication has been adequate and do not seek further education in communication skills despite the evidence that poor communication leads to adverse events. Much of what follows is generic to all interactions with co-workers, and some aspects are of particular significance to particular disciplines. The evidence would indicate that everyone needs to improve their communication skills for the benefit of patients, and this chapter is written with the intention of providing tools to do this. The relationship between anaesthetist and surgeon is unique in medicine. In no other context, except possibly in the resuscitation room, do two or more specialists, from different disciplines, spend extended periods of time simultaneously treating a single patient. The quality of this relationship has important repercussions for patient safety and outcome, professional job satisfaction and the maintenance of good team-work in the theatre environment.
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Kopp, Vincent J. "The pre-anaesthetic visit." In Handbook of Communication in Anaesthesia & Critical Care. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780199577286.003.0013.

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This chapter addresses deficiencies in pre-anaesthesia communication. Here, the use of medical narrative illustrates communication-enhancing techniques and attitudes that may help anaesthetists anticipate and respond to the biopsychosocial content, extant in the pre-anaesthesia assessment setting. By any measure, the pre-anaesthesia evaluation sets anaesthesia care in motion. Until now, little has been written about the development of a learnable framework for effective communication, in this or any other anaesthesia care setting. With respect to pre-anaesthesia communication, the need for heuristics or ‘rules of thumb’ is ever acute to improve rapport, elicit and respond to questions, manage ambiguity, as well as to obtain valid consent. Furthermore, anaesthetists have to communicate effectively with patients about conflicting advice, prior negative anaesthetic experiences and fears about awareness and intraoperative death. A 56-year-old man scheduled for an elective left inguinal herniorrhaphy meets his anaesthetist minutes before surgery is to begin. Three days before, the patient presented to hospital with his hernia incarcerated. It was easily reduced. A follow-up office visit with his surgeon preceded the surgery. The patient’s sole co-morbidity is benign prostatic hypertrophy. On the morning of surgery this otherwise healthy-appearing man, accompanied by his wife, meets the anaesthetist for the first time. After record review the patient is told three anaesthetic options exist—local anaesthesia with intravenous sedation, general anaesthesia and spinal anaesthesia — and that ‘spinal is the way to go’. Unquestioningly, the patient agrees to spinal anaesthesia. The spinal block is easy to place. The surgery is uneventful. Post-operatively, the patient cannot urinate. His discharge from the day-surgery unit is delayed by hours. He is told it is because of ‘the spinal’. Bladder catheterization ensues. The rest of his recuperation is uneventful, except for lingering feelings of betrayal, distrust and disappointment. He wonders why he was not told spinal anaesthesia might cause urinary retention. He becomes angry. He resolves never to use that anaesthetist’s or hospital’s services again. His wife even urges him to sue them both for pain and suffering. What could have been done to effect a more positive outcome for the patient, the anaesthetist and the hospital? The answer lies, at least in part, in improved communication.
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Sudakov, Dmitrii Valerievich, Danail Krasimirovich Nazliev, Evgenii Vladimirovich Belov, Oleg Valerievich Sudakov, and Artiom Nikolaevich Shevtsov. "Assessment of the Psychoemotional Status of Oncology Patients During an Unfavorable Epidemiological Situation." In Modern challenges of education and psychology of personality formation, 167–74. Publishing house Sreda, 2020. http://dx.doi.org/10.31483/r-96453.

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The article is devoted to the study of the characteristics of oncology patients’ psychoemotional status. This topic is relevant, since the number of detected cases of cancer is growing annually in Russia and around the world, the annual mortality from which in Russia alone is more than 160,000 people per year. It is outlined that the treatment of oncology patients is a complex and long process involving a wide variety of medical specialties. It is emphasized that the therapy for any malignant tumor is discussed and agreed upon by a special council, which usually includes a surgeon, oncologist, radiologist, chemotherapist, immunologist. However, many researchers acknowledge that often patients also need the help of a psychologist as a positive attitude can significantly help in the fight against a formidable disease. The study of psychoemotional aspects of oncology patients has already been carried out earlier. However, in 2020, the world is faced with a new threat – a new coronavirus infection, as a result of which the entire way of providing medical care has changed. The authors pay special attention to the fact that due to quarantine measures, even cancer centers were closed on a periodic basis, leaving, temporarily, patients in need without qualified assistance. It is the fact that determines the purpose of the work – the analysis of various aspects of oncology patients’ psychoemotional status. The objects of the study were 300 oncology patients, men and women, who were divided into 3 groups of 100 people, depending on their age: 18–40, 41–60, 60+. Then there was a further division into subgroups, depending on whether the oncology was newly diagnosed. The authors believe that the study is interesting since it was carried out in 2 stages – before the period of coronavirus infection and with its spread. The levels of situational and personal anxiety in patients were determined, various depressive states were identified, and patients’ main fears were indicated. The authors come to the conclusion that during a period of unfavorable epidemiological situation, the psychoemotional state of the patients worsened: the level of anxiety increased, various depressive states developed, and patients’ fears changed. The data obtained are of certain interest, both for practicing oncologists and psychologists, and for health professionals.
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Conference papers on the topic "Surgeons Attitudes"

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Warner, E., S. Yee, K. Glass, E. Kennedy, S. Foong, and M. Seminsky. "Abstract P6-12-01: Attitudes and practice of breast surgeons towards referring young women with breast cancer (YWBC) for fertility preservation (FP)." In Abstracts: Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium; December 8-12, 2015; San Antonio, TX. American Association for Cancer Research, 2016. http://dx.doi.org/10.1158/1538-7445.sabcs15-p6-12-01.

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Hooks, G., and A. Graham. "1 Investigating variation in the attitudes of cardiac surgeons to complete coronary revascularisation and assessing the implications for patient outcome as a result of a non-standardised surgical approach." In Irish Cardiac Society Annual Scientific Meeting & AGM, October 6th – 8th 2022, Radisson Hotel, Little Island, Cork Ireland. BMJ Publishing Group Ltd and British Cardiovascular Society, 2022. http://dx.doi.org/10.1136/heartjnl-2022-ics.1.

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Mittal, Sujata. "Cervical cancer management in Rural India: Are we really living in 21st century or need to focus on health education of our doctors." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685408.

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Objectives: To study cases of cervical cancer managed/unmanaged in rural India and to analyze the reasons for poor outcome. Methods: This is a retrospective study of 218 cases of cervical cancers between 2008-2013 with resultant outcome in terms of treatment or absence of treatment in spite of diagnosis. Reasons for not taking the treatment have been analyzed. Also, analysis of 21 cases of simple hysterectomy with resultant complications like VVF, RVF has been done. Indications of surgery, operating surgeon, availability of preoperative/postoperative HPR, slides/blocks, discharge summary and disease status at the time of referral was done. Results: 44% refused to take treatment in spite of stage III diagnosis citing financial constraints, distance to be traveled daily for RT and apathetic attitude of family towards females. 20.65% opted for other hospitals. 29.8% took complete treatment. 80% of females were illiterate and dependent. 9.7% had simple hysterectomy for invasive disease. 95% of simple hysterectomies were performed by general surgeons in private setups resulting in 19% of complications like VVF, RVF. 100% cases of simple Hysterectomy did not have pre-operative biopsy. Only 50% cases had post-operative biopsy report and in none of the cases were slide/blocks available for review as trained pathologists were not available. General surgeons who had performed surgery were neither trained in doing P/V examinations nor aware of staging of cervical cancer. Conclusion: Illiteracy, poverty and absence of implementation of cancer control programs are the major hurdles in control of cervical cancer. The study highlights the absence of Government’s will to control cervical cancer in rural India. It emphasizes on the need of intensive training and health education of gynaecologists and surgeons at district/rural level, lack of which is a primary factor for violation of medical ethics by the doctors.
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Kumar, Ashok, Sadhana Notani, Ravi Mahat, Nida Hussain, and Nadeem Rizvi. "Comparison of knowledge attitude and practice of cigarette smoking and water pipe use among physicians and surgeons of Pakistan." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa4126.

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KANNAN, SRI SAKTHI DORAI, VYSHIALI SIVARAM KUMAR, PRADEEP KUMAR RATHINAVELU, and MEIGNANA ARUMUGHAM INDIRAN. "AWARENESS AND ATTITUDE TOWARDS MASS DISASTER AND ITS MANAGEMENT AMONG HOUSE SURGEONS IN A DENTAL COLLEGE AND HOSPITAL IN CHENNAI, INDIA." In DISASTER MANAGEMENT 2017. Southampton UK: WIT Press, 2017. http://dx.doi.org/10.2495/dman170121.

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Магомедова, Саадат Магомедовна, Руслан Абдусаламович Омаркадиев, Адиюллах Фейзулахович Габибуллаев, and Роза Султановна Султанова. "LAPAROSCOPIC APLATIZATION OF LIVER AND SPLEEN CYSTS." In Сборник избранных статей по материалам научных конференций ГНИИ "Нацразвитие" (Санкт-Петербург, Март 2022). Crossref, 2022. http://dx.doi.org/10.37539/mar196.2022.18.63.006.

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В литературе широко дискутируются вопросы использования миниинвазивных технологий при паразитарных и непаразитарных кистозных образованиях печени и селезенки. Если при непаразитарных кистозных образованиях проведение хирургического лечения в миниинвазивном варианте у хирургов считается приемлемым, то при эхинококковых кистах до сих пор сохраняется негативное отношение к выполнению эхинококкэктомии в малоинвазивном варианте. Связано это с опасностью обсеменения зародышевыми элементами паразита брюшной полости ввиду невозможности абсолютного соблюдения принципа апаразитарности метод аплатизации кистозных образований печени и селезёнки является наиболее подходящим в выполнении лапароскопического варианта. Некоторые вопросы успешной реализации данной методики ещё до конца не решены и являются актуальными. The use of minimally invasive technologies in parasitic and non-parasitic cystic formations of the liver and spleen is widely discussed in the literature. If in case of non-parasitic cystic formations surgical treatment in a minimally invasive variant is considered acceptable by surgeons, then in hydatid cysts there is still a negative attitude towards performing echinococcectomy in a minimally invasive variant. This is due to the danger of contamination with the germinal elements of the parasite in the abdominal cavity due to the impossibility of absolute observance of the principle of aparasitism, the method of aplatization of cystic formations of the liver and spleen is the most suitable in the implementation of the laparoscopic variant. Some issues of the successful implementation of this technique have not yet been fully resolved and are relevant.
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