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Yuan, Hsiu-Chun. "Optimising written medicine information for prescription medicines". Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/23676.
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Optimising written medicine information for prescription medicines Aims: to improve the current and recently revised Australian Therapeutic Goods Administration (TGA) Product Information for prescription medicines (AUS-PI and TGA-AUS-PI, respectively) and recommend a PI format for the future. All current AUS-PI are expected to adopt the revised TGA format by the end of 2020. Methods: The overall study consisted of 3 stages – needs analysis (qualitative interviews with pharmacists n=16, GPs n=9), user testing with HCP students, and user testing with HCPs. Five rounds of face-to-face user-testing interviews were conducted to iteratively evaluate and re-design the TGA-AUS-PI for a prescription medicine – 3 rounds (n=11 per round) with healthcare professional (HCP) students (pharmacy n=25, dentistry n=5, medicine n=3) (Stage 2); and 2 rounds (n=10 per round) with HCPs (pharmacists n=16, GPs n=4) (Stage 3). An electronic version was also developed and evaluated in Stage 3. Results: Findings of the needs analysis (qualitative study) demonstrated that the current AUS-PI and the revised TGA-AUS-PI did not meet the needs identified by HCPs in terms of location and order of information, and design and readability of the content. In stage 2, an existing TGA-AUS-PI was first evaluated through an iterative process of user testing and the findings from the 1st round, as well as the participant recommendations from the needs analysis, and principles of good information writing and design were used to improve the TGA-AUS-PI. The improved AUS-PI was further evaluated and improved in two rounds of user testing to ensure that the final version was able to adequately communicate the key medicines information to the participants. Overall, significant improvements were made to the TGA-AUS-PI, with the exception of two sections (related to therapeutic indications and contraindications) which needed further work. In the final stage of the study, the TGA-AUS-PI was further redesigned and improved to address the outstanding issues from stage 2, with the evaluation being conducted by practising pharmacists and physicians. By the final user testing round, the study finalized AUS-PI (F-AUS-PI) (electronic and hard-copy versions) effectively communicated the key medicines information to the HCPs and the HCP considered the F-AUS-PI a much preferred document to use during consulting, prescribing and dispensing responsibilities with their patients. The overall main issues in the PI that required changing during both user testing stages were; complex and/or technical wording, disorganized categorization and arrangement of information, and inadequate application of the principles of good information writing and design. Conclusion: In this study, we were able to revise the TGA-AUS-PI (AUS equivalent of SmPC) so that the document was better able to communicate key medicines information to its intended audience, health care professionals. We were able to do this through a process of needs analysis, document design using principles of good writing and design, and iterative rounds of user testing evaluation and revision. Our recommendations for an improved TGA-AUS-PI format based on the study findings are to include: a summary information section, a table of contents, concise and succinct information, and information sections organized in the order of HCP perceived importance with least perceived important information such as clinical trials section at the end or as a separate document. Given that the primary use of the PI for HCPs is to use it as an on the spot, quick reference, the ability to locate and understand medicine information quickly is critical. Although, the changes and improvements were specific to the TGA-AUS-PI, the findings are applicable and can be utilized in the EU SmPC (especially the TGA-AUS-PI’s format appears to directly follow the SmPC format) and US-PI.
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Kelly, Jennifer. "Medicines management : optimising medicine administration to patients with dysphagia". Thesis, University of East Anglia, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.577563.
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Taking medicines is a frequent problem for patients with dysphagia (PWD). This study aimed to: identify the nature of the problems encountered by patients and healthcare professionals; quantify the problems in an acute care setting; trial individual medicine administration guides (I-MAGs) in order to help nurses correctly administer medicines to PWD. Methods A qualitative methodology was used comprising of interviews with PWD to gain an in-depth insight into taking medicines and a focus group of healthcare professionals to explore the problems of medicine administration. Direct observation of medicine administration rounds was utilized to identify if the medicine administration error (MAE) rate and severity was greater for PWD than those without in four acute hospitals in the UK. In one of the hospitals a controlled trial of I-MAGs was employed together with direct observational medicine rounds and nurse questionnaires to identify if the MAE rate for PWD could be decreased and if the I-MAGs led to an increase in nurses' knowledge. Results The qualitative research identified eight themes the central two being the importance of medicine formulation for PWD and the identification that medicine management falls into the province of five different professional groups putting the PWD at risk of fragmented care. The MAE rate was significantly higher for PWD than for patients without, and was even higher for those with enteral tubes. There was however no difference in error severity. Introduction of I-MAGs did not result in a decrease in MAEs on the intervention wards or an increase in nurses' knowledge. Unexpectedly the MAE rate fell significantly on the control wards. Conclusions Medicine management for PWD crosses discipline boundaries and requires those professionals to work together to reduce MAEs and ensure patients receive their medicines in a formulation which they can take safely.
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Almeida, Eduardo Luiz Vieira de. "Medicina hospitalar medicina extra-hospitalar? Duas medicinas?" Universidade do Estado do Rio de Janeiro, 1988. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=1927.
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Este trabalho é o resultado do esforço de um clínico que resolve analisar criticamente a prática clínica atual, da qual foi um seguidor ortodoxo por mais de uma década. O leitor não terá dificuldades em perceber que, por trás da análise mais ou menos coerente, está à busca do autor no sentido da construção de um "campo clínico ampliado" capaz de superar as evidentes limitações do modelo oficial. O capítulo I é uma tentativa de análise crítica da coerência do discurso da medicina "científica", quando cotejado com a realidade objetiva da prática clínica. O capítulo II, estuda o fenômeno provocado pela aplicação do discurso clínico oficial sobre a clientela extra-hospitalar, o capítulo III é uma abordagem preocupada com o que se poderia chamar de dimensões não-farmacológicas dos medicamentos. No Capitulo IV buscou-se agrupar evidências no sentido de delinear um perfil do que seria a medicina extra-hospitalar
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VIGANI, BARBARA. "Development of Advanced Therapy Medicinal Products for Regenerative Medicine". Doctoral thesis, Università degli studi di Pavia, 2017. http://hdl.handle.net/11571/1203351.
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Wackers, Gerardus Lambertus. "Constructivist medicine". Maastricht : Maastricht : Universitaire Pers Maastricht ; University Library, Maastricht University [Host], 1994. http://arno.unimaas.nl/show.cgi?fid=6748.
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Hsu, E. L. "Chinese medicine". Thesis, University of Cambridge, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.604684.
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This thesis explores ways in which the style of transmission is related to the contents of knowledge and practice. Chinese medicine has been legitimised and promoted by the government since the 1950s. Its transmission in government units is modelled on that of Western biomedicine. By analysing textbooks, I show ways in which, over the past thirty years, an attempt has been made to standardise the different strands of Chinese medical knowledge, and I refer to it as 'standardised knowledge'. This textbook knowledge conforms to Western biomedical systematisation, a materialist and static view of processes, and the ideology of Marxist dialectics. In settings outside the government work units Chinese therapeutic knowledge and practice has also been modified by Western thought and medicine, but not as systematically. Here, one still finds ways of learning which depend on the personal quality in the relationship between master and disciple. And here, the transmission of Chinese therapeutic knowledge is often veiled in secrecy. The comparison of these different tastes of knowing and healing aims to put the present standardisation of Chinese medicine into context and by highlighting qualities of knowing and healing in other settings of Chinese therapeutics, it points to the limitations of standardising medical knowledge and practice. Chapter One contributes to topics such as Socialist work units (danwei), post-Mao higher education, and curricula in Traditional Chinese Medicine (TCM). Chapter Two discusses a 'senior doctor's (laozhongyi) understanding of notions such as Experience (jingyan) and 'science' (kexue). Chapter Three contains case histories of qigong healing, and deals with topics such as voluntary associations and secrecy. Chapter Four contains a translation of Suwen 43 'On Obstructions' and discusses concepts of illness in qigong healing and Chinese medicine, with particular emphasis on Breath (qi). Chapter Five contains a translation of parts of Suwen 66 'The Rules of the Origins of Heaven' and discusses interpretations of concepts such as Change (bain, hua) and the Spirits (shen). Chapter Six discusses the textbook TCM Fundamentals and its precursors, and highlights how the understanding of concepts discussed in previous chapters has recently been transformed.
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Dodd, Will. "Adolescent Medicine". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/8913.
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Conocimiento, Dirección de Gestión del. "Access Medicine". McGraw-Hill, 2004. http://hdl.handle.net/10757/655257.
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Blackwelder, Reid B. "Allopathic Medicine". Digital Commons @ East Tennessee State University, 2002. https://www.amzn.com/1560534400.
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Book Summary: This new reference ― part of The Secrets Series® provides balanced coverage of all current complementary and alternative therapies by leading experts in the field. Discusses each CAM modality and the disorders for which it has been proven beneficial; what to look for in a practitioner of each field; whether there is a "best" CAM approach; supporting evidence; and the effectiveness of CAM compated to allopathic approaches. Includes chapters on the various alternative therapies as well as chapters on medical disorders and the CAM treatments for those diseases Focuses on the evidence for the effectiveness of CAM therapies Kohatsu one of the leaders in the field (member of first group of fellows of Andrew Weil at University fo Arizona Department of Integrative Medicine Book uses an "integrative" approach---not just CAM therapies, but therapies used in conjunction with total program for treating patient's condition (including standard medical therapies, nutrition, etc). Concise answers that include the author's pearls, tips, memory aids, and "secrets".
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Blackwelder, Reid B. "Cardiovascular Medicine". Digital Commons @ East Tennessee State University, 2000. https://dc.etsu.edu/etsu-works/6922.
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Blackwelder, Reid B. "Alternative Medicine". Digital Commons @ East Tennessee State University, 2001. https://dc.etsu.edu/etsu-works/6998.
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Blackwelder, Reid B. "Alternative Medicine". Digital Commons @ East Tennessee State University, 2000. https://dc.etsu.edu/etsu-works/7003.
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Blackwelder, Reid B. "Integrative Medicine". Digital Commons @ East Tennessee State University, 1999. https://dc.etsu.edu/etsu-works/7008.
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Götze, Sarah, Daniella Ekström, Forssén Tore Larsson, Eric Sjöö, Frisinger Emma Svanberg y Linnea Wikström. "Personalized Medicine". Thesis, Uppsala universitet, Institutionen för biologisk grundutbildning, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-444200.
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The aim of this project was to present several therapies and possible applications of these in the field of personalized medicine along with the production techniques and workflows surrounding them. There are two main categories; cell therapies and non-cell therapies. Cell therapies utilize the body's own T cells and immune system, and non-cell therapies are mostly based on proteins and nucleotides. All of these applications face different challenges that need to be overcome to be considered effective treatments and they all have a high production cost. The report also presents differences and similarities of manufacturing models that are specifically used in the production of cell therapies. It could be argued that these manufacturing models can be adjusted and work for both cell therapies and non-cell therapies. Three different workflows for three different personalized medicines, antibody drug conjugates (ADCs), tumor infiltrating lymphocytes (TILs) and mRNA vaccines, are presented in this report. Technologies and processes valuable to the manufacturing process were also presented, including bioreactors, interleukin 2 media and cell dissociation technologies. In conclusion, there are methods and techniques that are frequently used in production that are, or possibly could be useful for manufacturing personalized drug components. Production of products used in personalized medicine is possible if the right resources are available. Personalized therapies are presently most commonly applied to cancer diseases but there are developments for these therapies that could benefit several other diseases. To fully apply personalized therapies to these diseases further studies on suitable biomarkers and targets in drugs are needed. Overall, personalized medicine has promising possibilities in treatments for many types of complex diseases. This project was assigned by Cytiva which is a global life science company and the product order can be seen in the appendix.
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Eubanks, Jaimie. "Family Medicine". FIU Digital Commons, 2017. https://digitalcommons.fiu.edu/etd/3551.
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The novel FAMILY MEDICINE follows three married women as they struggle to define themselves in Foley, South Dakota, a small town where privacy is nearly impossible.
Marcy Morrow, a queen bee, in a vulnerable moment reveals misgivings about her second pregnancy to Bridget Cunningham, the wife of Dr. Herb Cunningham and his office manager at the town’s only medical practice. Bridget's offer of off-the-books help begins a chain of secrecy into which Dr. Maka Smith, the practice’s other physician, is reluctantly pulled. Meanwhile Marcy and Bridget’s husbands run for mayor, forcing the women to reexamine their lives, ambitions, and the nature of friendship.
The use of multiple perspectives, as in Anne Tyler’s Dinner at the Homesick Restaurant, helps reveal motives while heightening tension. FAMILY MEDICINE’s focus on a small community, like that Jane Austen’s Emma, uncovers the rivalries, alliances, and power of gossip in a circumscribed world.
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Neelakantan, Vivek. "Health and Medicine in Soekarno Era Indonesia: Social Medicine, Public Health and Medicine Education 1949 to 1967". Thesis, The University of Sydney, 2013. http://hdl.handle.net/2123/9916.
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In 1949, newly-independent Indonesia inherited a health system that was devastated by three-and-a-half years of Japanese occupation and four years of revolutionary struggle against the Dutch. The country suffered from an acute shortage of doctors who were mostly concentrated in urban areas where a minority of the population lived. Additionally, the Ministry of Health had to cope with the resurgence of smallpox outbreaks, and endemic diseases such as malaria, tuberculosis, yaws and leprosy. By the early 1950s, the Ministry of Health initiated a number of symbolic public health initiatives that resulted in a noticeable decline of mortality. These initiatives demonstrated to the international community that Indonesia was capable of standing on its own two feet. Unfortunately, by the mid-1950s, Indonesia’s public health initiatives faltered due to a constellation of factors resulting from political differences between Java and the outer islands, political instability, rampant inflation, and corruption. The initial exuberance that characterised the early years of independence paved way for pessimism. This thesis reveals the benefits of linking the historiography of postcolonial Indonesian medicine with political history of the 1950s more generally. The synthesis of these two streams of historiography serves as a useful vantage point to examine how Indonesia’s leadership sought to cautiously balance the country’s ambition of safeguarding its political sovereignty in health with increased openness to international health assistance administered through the channel of UN agencies, particularly the WHO. Indonesian leaders elected to follow what I have characterised as the ‘Bandung approach to health.’ Indonesia adhered to a non-aligned foreign policy without the intervention of either the US or USSR, established Afro-Asian solidarity, and creatively appropriated international assistance in health to reflect the country’s unique demographic and epidemiological requirements.
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Mabunda, Hitekani Tolerance. "Innovator Medicines Versus Generic Medicine Package Inserts Safety Amendments, the Reality in South Africa". University of the Western Cape, 2017. http://hdl.handle.net/11394/6317.
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Magister Scientiae - MSc (Pharmacy Administration and Policy Regulation)Availability of clinically relevant and unbiased medicine information goes a long way in promoting rational use of medicines. The package insert (PI) is one of the sources of information utilised by healthcare professionals for accessing relevant medicine information such as indications, contra-indications and special precautions (Singh, Mohan, Kumar, & Gupta,2016). It is important that the PI contains updated safety information. The safety information in the PIs of the innovator and generic medicines are expected to be the similar since they contain the same active ingredients. Generic medicines have the same efficacy and safety as innovator medicines and are considered bioequivalent. Generic medicines are interchangeable with innovator medicines.
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Eiland, Murray Lee. "Patenting traditional medicine /". Baden-Baden : Nomos, 2008. http://aleph.unisg.ch/hsgscan/hm00219864.pdf.
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Race, Kane National Centre in HIV Social Research Faculty of Arts & Social Sciences UNSW. "Pleasure consuming medicine". Awarded by:University of New South Wales. School of Social Science and Policy, 2004. http://handle.unsw.edu.au/1959.4/20473.
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Pleasure Consuming Medicine investigates the significance of the classification of drugs for conceptions of personhood in the context of consumer citizenship. It examines how drug discourses operate politically to sustain particular notions of personhood and organise bodies. As the normative conception of social life shifts to a discourse of consumer agency and active citizenship, it is argued, drugs come to describe the moral boundaries of a freedom configured around personal consumption. The thesis tracks the parallel rise of two discourses of drug mis/use from the 1970s - a discourse of 'drug abuse' and a discourse of 'patient compliance' - illustrating how these discourses bind personal agency to medical authority through a vocabulary of self-administration. It describes how illicit drugs are constructed as a sign and instance of excessive conformity to consumer culture, and how this excess is opportunistically scooped off and spectacularised to stage an intense but superficial battle between the amoral market and the moral state. Pleasure Consuming Medicine uses a theoretical frame developed from queer theory, corporeal feminism, governmentality studies and cultural studies to explore the political character of drug regimes, tracing some of the ramifications for sex, race, class, and citizenship. Then it turns to the field of gay men's HIV education to conceive some alternative and provisional vocabularies of safety. The thesis develops an argument on the exercise of power in consumer society, with the aim of contributing to cultural and critical understandings of consumption, embodiment, sex, health, and citizenship.
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Saxer, Martin. "Manufacturing Tibetan medicine". Thesis, University of Oxford, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.527370.
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Phan, Tyler. "American Chinese medicine". Thesis, University College London (University of London), 2017. http://discovery.ucl.ac.uk/1571107/.
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This thesis explores the power structures which shape Chinese medicine in the United States. Chinese medicine had two incarnations: migrant Chinese practice and its professionalized form. From the 1880s to the 1940s, Chinese medicine was practiced by the Chinese diaspora to serve their communities and non-Chinese settler populations. From the 1970s onward, Chinese medicine professionalized under the agency of acupuncture. Through the regulation of acupuncture, groups of predominately white Americans began to create standards of practice based on the enactment of what I have referred to as “orientalized biopower.” Orientalized biopower is the process where America’s predominately white counterculture began to encompass an orientalism which romanticized a form of Chinese medicine constructed in the 1950s by the People’s Republic of China called Traditional Chinese medicine (TCM). With the adoption of TCM in the United States, they also formulated measures which marginalized Asian Americans practitioners. The profession then labelled itself as “Oriental Medicine” embodying Edward Said’s concept of Orientalism. Along with this form of orientalism, the counterculture used the State to push for a standardized epistemology of TCM. In return, the State encompassed standardized Chinese medicine as element of biopower. My research is informed by a cross-country ethnography of schools, regulatory bodies, and private practices around North America. Through my investigation, I discover the power structures of Chinese medicine, contained within the regulatory bodies and schools, are mostly dominated by white Americans. Combined, they construct a profession and determine the “legitimate” and “illegitimate” forms of Chinese medicine, which constitutes the criteria for who can and cannot practice legally in the country.
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Santos, Tânia Isabel Gomes Frazão Pina. "Understanding shelter medicine". Bachelor's thesis, Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária, 2010. http://hdl.handle.net/10400.5/2205.
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Dissertação de Mestrado Integrado em Medicina VeterináriaShelter medicine is a small animal herd health discipline that is becoming an emerging area of specialization. This discipline rose from difficulties that shelter veterinarians face every day in local community shelters or supporting associations that protect the interests of animal well-being. The demands of veterinary health care when dogs, cats and other animals are housed together are so myriad, that demonstrates the necessity to establish protocols, standards, guidelines and the need to perform scientific investigations in shelter settings. Shelter Medicine also considers the demands of the community striving to find ways to reduce euthanasia and increasing the numbers of animals adopted. This thesis expects to describe the overall importance of Shelter Medicine and its main contents showing at the same time a practical evaluation application in a local Humane Society, in the USA, of the shelter medicine theoretical information available.
RESUMO - Compreender a Medicina de Abrigos - A Medicina de Abrigos, considera todos os actos médicos e cirúrgicos realizados em populações de pequenos animais indigentes, reunidos num mesmo espaço físico. Embora seja um conceito novo, ela assume-se já como uma área emergente de especialização no universo da Medicina Veterinária. A sua origem teve por base, a tentativa de suprimir as dificuldades que os Médicos Veterinários de abrigos, encontravam no seu dia-a-dia para garantirem a sanidade de toda a comunidade de que eram responsáveis, garantindo a defesa e o bem-estar dos animais indigentes. A sua vasta aplicabilidade e exigência de saberes demonstram a necessidade do desenvolvimento de protocolos e de linhas orientadoras, cujos objectivos finais se expressarão na redução do número de eutanásias, numa melhoria do estado hígido e das condições higio-sanitárias dos animais que constituem a comunidade (abrigo) e por fim no aumento do número de animais adoptados. A tese objectiva apresentar e aproximar o leitor a este novo ramo das Ciências Veterinárias – a Medicina dos Abrigos.
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Dodd, Will. "Pediatric Emergency Medicine". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8915.
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Taranyuk, D. "Innovations in medicine". Thesis, Sumy State University, 2017. http://essuir.sumdu.edu.ua/handle/123456789/62577.
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Whether it's the technology that allows us to peer deep into the body or medicines that extend the lives of those with chronic diseases, it's easy to see how advances in health and medicine have touched the lives of nearly every person on the planet. The list below encompasses 10 Medical Breakthroughs in health and medical practices that have changed - and in many ways continue to change - the world today.
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Nazbar, E. "Medicine in Afganistan". Thesis, Sumy State University, 2016. http://essuir.sumdu.edu.ua/handle/123456789/45895.
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Over the decades of war and civil strife the network of public service delivery had been disrupted. There are many barriers to create an accessible effective sustainable health care system in Afghanistan. They include severely damaged health infrastructure, economic hardship, difficult access to health care facilities, unsuitable hospital conditions, and few trained care workers, especially women.
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Skorobogatska, V. "Innovations in medicine". Thesis, Sumy State University, 2017. http://essuir.sumdu.edu.ua/handle/123456789/62823.
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Nowadays the problem of improving healthcare services through implementing new investments or improvements, medical devices and software is burning. Innovations in medicine make a valuable contribution into saving human lives. In this light, a few mainstreams within the general tendency of introducing medical inventions and improvements should be mentioned.
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Vidmenko, М. "Innovations in medicine". Thesis, Sumy State University, 2017. http://essuir.sumdu.edu.ua/handle/123456789/62570.
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Medicine does not stand still. Scientists are finding ways to treat increasingly complex diseases through innovations in medicine every year. Is innovation in medicine a good or bad thing? On the one hand, new methods of treatment do not require surgical intervention, long recovery and patient care. On the other hand, the old methods which helped most people are nearly forgotten nowadays.
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Boyko, A. "Innovations in medicine". Thesis, Sumy State University, 2015. http://essuir.sumdu.edu.ua/handle/123456789/40542.
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There are a lot of innovative technologies that are developed
nowadays. They are: A Robot Surgeon, Testing Genetic Diseases,
Non-Invasive Glucose Monitor. One of them is modern technology
that is called Transcranial Magnetic Stimulation.
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Skorobogatska, V. "Innovations in medicine". Thesis, Sumy State University, 2016. http://essuir.sumdu.edu.ua/handle/123456789/45953.
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The problem of improving healthcare services through implementing new technologies is vital these days. Innovations in medicine enrich medical practice; they also make a valuable contribution into successful treatment and even saving human lives. In this light, a few mainstreams within the general tendency of introducing medical inventions and improvements should be mentioned.
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Didenko, T. y L. M. Chuchilina. "Nanoparticles in medicine". Thesis, Вид-во СумДУ, 2009. http://essuir.sumdu.edu.ua/handle/123456789/16776.
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Svikolnik, A. "Nanotechnology in medicine". Thesis, Sumy State University, 2017. http://essuir.sumdu.edu.ua/handle/123456789/62574.
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Mischenko, Y. "Future of medicine". Thesis, Sumy State University, 2016. http://essuir.sumdu.edu.ua/handle/123456789/45954.
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Medicine is the science and practice of the diagnosis, treatment and prevention of disease. For the last years medicine has evolved greatly. And many new achievements have appeared.
Health Watch, house call is back. Doctors can already gather your glucose from their gardens and check your liver from the links. Remote medical monitoring will be commonplace in the future and it promises to benefit both physicians and patients by saving time and money.
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Козаченко, Юлія Сергіївна, Юлия Сергеевна Козаченко y Yuliia Serhiivna Kozachenko. "Leadership in medicine". Thesis, Sumy State University, 2020. https://essuir.sumdu.edu.ua/handle/123456789/78076.
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Leadership is one of the important forms of personal development. Today's changes are leading to continuous improvement of educational services. Students are a special population group that can be judged by society as a whole. Youth is a reflection of all the processes that take place in the country, how society cares for development and what it does, and the corresponding result can be obtained. Youth development is influenced by: family, upbringing, school (or other educational institutions), environment, environment, economic and social status of society. Negative changes in society also leave their mark on student youth. However, much depends on the individual. For example, people's perception of problems is completely different. For some, solving them can lead to frustration and frustration, while others make them stronger and more motivated. In today's context, we believe that the issue of leadership plays an important role in the formation of personality. It should be noted that humanity is evolving and new challenges are emerging to address the needs of society for young people who are ready to improve, to work on new technologies and inventions. Of course, there is a special emphasis in every developed country on the training of a health professional.
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Mishchenko, S. "Innovations in medicine". Thesis, Sumy State University, 2017. http://essuir.sumdu.edu.ua/handle/123456789/62578.
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Little do we know how quickly our medicine is developing nowadays. More and more methods of treating diseases are being used in our society. But far more are to come. Thanks to the development of electronics many new devices continue to appear every day. Some of them are the following:
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Gapon, V. I. "Robots in medicine". Thesis, Sumy State University, 2014. http://essuir.sumdu.edu.ua/handle/123456789/45345.
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Robot is a machine with a human-like behavior which partially or completely fulfills human function when interacting with the surrounding world. Robots are divided into three types: robots with the specific program of actions, operator-controlled robots and artificial intelligence robots.
No doubt, that the development of new technologies had a great impact on medicine. At present, doctors can perform operations, which seemed impossible ten years ago. Robots have become indispensable medical assistants.
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Золотова, Світлана Григорівна, Светлана Григорьевна Золотова, Svitlana Hryhorivna Zolotova y L. U. Ravluk. "Nanotechnology and medicine". Thesis, Вид-во СумДУ, 2009. http://essuir.sumdu.edu.ua/handle/123456789/17150.
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Lytvynenko, M. "Hydraulics in medicine". Thesis, Sumy State University, 2016. http://essuir.sumdu.edu.ua/handle/123456789/45901.
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I am really interested in major laws and aspects of hydraulics. I would like to investigate the usage of hydraulics in medicine. After having learnt about the application of artificial lungs airing machine (aids ventilation) and diaphragm compressors, I have seen the importance of hydraulics in medicine. But I am just a beginner, so it‘s so difficult for me to concretize the exact sphere of my future research. I hope I will define it during the first two years of study at our university.
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Nappier, C. y James Bitter. "Dreikurs’ Holistic Medicine". Digital Commons @ East Tennessee State University, 1999. https://dc.etsu.edu/etsu-works/6056.
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Mann, Abbey. "Evidence Based Medicine". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6442.
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Das, Minakshi. "Ayurveda as Medicine". Thesis, University of North Texas, 2020. https://digital.library.unt.edu/ark:/67531/metadc1703331/.
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Complimentary and alternate medicine, especially Ayurveda is gaining popularity in United States. However, there are various barriers that people face in adopting Ayurvedic practices into their lives and making cultural, familial and societal changes to better their health. This research explores these relationships and barriers behind why some people adopt and are able/unable to sustain Ayurvedic practices in the presence of traditional bio-medicine.
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Lechler, Ron. "The Best Medicine". Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc801938/.
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The Best Medicine is an animated documentary that explores the true stories behind the live performances of stand-up comedians. The film juxtaposes live stand-up performances with candid interview footage combined with animation and illustration. Three subjects– Michael Burd, Casey Stoddard, and Jacob Kubon– discuss alcoholism, childhood abuse, and sexual anxiety, respectively. Their candid, intimate interviews reveal personal information, creating a new context with which to understand live stand-up comedy performance. This illustrates themes of finding humor in dark or painful circumstances and the cathartic nature writing and performance.
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Blackwelder, Reid B. "Patient Centered Medicine". Digital Commons @ East Tennessee State University, 2003. https://dc.etsu.edu/etsu-works/6937.
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Miller-Fellows, Sarah. "Making Medicine Amish". Case Western Reserve University School of Graduate Studies / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1548435040090677.
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Eiland, Murray Lee. "Patenting traditional medicine". Baden-Baden Nomos, 2006. http://d-nb.info/991006488/04.
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Lourenço, Marisa Isabel da Costa. "Zoological species medicine". Master's thesis, Universidade de Évora, 2015. http://hdl.handle.net/10174/16445.
Texto completoResumen
Externship report done in order to describe and inform about the activities followed
during six months externship at three zoological institutions in the United States of America.
These externships were performed in order to conclude the sixth and last year of the
integrated master in veterinary medicine of the University of Evora, with the main goal of
obtaining more knowledge and experience in this area of the veterinary field. From the more
varied number of species, to the more complex procedure, by exemplification with a case of
preventative medicine in a western lowland gorilla (Gorilla gorilla gorilla), this report
provides information about some of the most important and/or interesting aspects of
zoological medicine; Resumo:
Medicina das Especies Zoologicas
Relatório de estágio produzido com o intuito de descrever e dar a conhecer as
actividades seguidas e realizadas durante seis meses de estágio em três entidades zoológicas
nos Estados Unidos da América. Estes estágios foram realizados de forma a concluir o sexto
e último ano do ciclo de estudos do mestrado integrado em medicina veterinária da
Universidade de Évora, com o objectivo principal de obter maior conhecimento e experiência
nesta área do ramo veterinário. Desde o mais variado número de espécies, até ao
procedimento mais complexo, atraves da exemplificacao com um caso de medicina
preventiva num gorila-do-ocidente (Gorilla gorilla gorilla), este relatório fornece
informação sobre alguns dos aspectos mais importantes e/ou interessantes da medicina
zoológica.
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Conti, V. "Neutrons for medicine". Doctoral thesis, Università degli Studi di Milano, 2011. http://hdl.handle.net/2434/172333.
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There are a lot of definitions of cancer: in a few words one could say that it represents
a group of diseases characterized by the growth and uncontrolled diffusion
of abnormal cells. Considering the number of deaths at the world level in 2005
(50 millions), cancer is responsible of 7.6 millions (that is 13%) with an expected
increase to 11.4 millions in 2030. The innovations in the field of radiotherapy,
chemotherapy, surgery and their combined applications have allowed to maintain
these numbers under control.
Radiation therapy has been used for the treatment of cancer and other diseases
for approximately 100 years. As early as 1897, two years after the discovery by
Wilhelm Conrad Rontgen, it was concluded that X-rays could be used for therapeutic
as well as diagnostic purposes. But nearly 30 years were necessary to make
radiotherapy world wide diffused: in fact, X-rays moved into clinical therapeutic
routine only in the early 1920s.
Since the first uses of radiation to treat cancer, important changes have been made
in this field and several developments have been accomplished, both from the instrumental
(new types of linear accelerators to generate higher energy radiation
beams) and medical (different types of ionizing radiation and progress in treatment
planning) points of view.
On the other hand there is a series of tumours whose survival curve has not varied
in time both in absolute and incremental terms: extended tumours (such as the
ones of stomach, liver and lung), tumours localized near or in vital organs (such
as the glioblastoma multiforme (GBM) in the brain), radioresistant tumours (such
as melanoma). The research for new ways of treatment, together with the discovery
of neutrons in 1932 and the studies concerning their properties, inspired in
the American biophysicist G. L. Locher in 1936 the attempt to use neutron beams
in radiotherapy in the so-called NCT (Neutron Capture Therapy) first and BNCT
(Boron Neutron Capture Therapy) then. BNCT could (and the conditional is a
must) represent a hope for all the cases still lacking a survival improvement.
BNCT is a technique that in principle joins the localization capability of radiotherapy
and the specificity of chemotherapy, allowing a selective release of the
dose only to cancer cells, without damaging the surrounding healthy tissues. This
technique is based on the irradiation with thermal and epithermal neutrons of a
boronated compound (the so called carrier) selectively concentrated in tumor cells.
Following the capture of a neutron, the 10B isotope emits high LET particles (an
and a 7Li ion) that release their whole energy in the cell where the boron atom
was present at the moment of the irradiation.
The first BNCT experimental treatments were performed during the '50s. Since
then, BNCT has met ups and downs in its history because of a physical and a biological
reason: from the physical point of view, the features of the neutron beam
(a flux >5 X 108 n cm-2 s-1 with an energy <10 keV) identify nuclear reactors
as the only adequate sources; from the biological point of view, the carriers that
bring the 10B inside the cell are not selective but exploit the greater metabolism
of the cancer cells with respect to the healthy ones. BNCT has been performed
in nuclear reactors in the United States (MIT, WSU), in Japan (KURRI, JRR-4),
in Argentina (RA-6), in Europe (JRC - the Netherlands, Medical AB - Sweden,
FiR1 - Finland) for activities of Phase I (toxicity) and of Phase II (ef_cacy); no
center has started a Phase III protocol (BNCT tests randomized with respect to the
standard techniques). Possible patients for BNCT treatments have to submit the
request for the therapy to the International Ethic Committee who analyzes all the
other possibilities before agreeing to a non standard treatment, a fact which limits
the number of patients and thus the available statistics.
To understand completely the impact and the advantages of BNCT with respect to
other techniques, it is necessary to study the boron concentration, its sub-cellular
distribution, its fixation molecular sites, its transport and its exchange dynamics
in several biological samples, possibly in a user friendly environment, easily accessible
and with a low photon or particle background. In other words, one of the
main tasks for the BNCT development in terms of clinical treatments is the study
of the pharmacokinetics of the carrier. This requires the development of reliable
methods for monitoring the boron concentration in healthy and tumour cells. This
study has to proceed in parallel with the design of in-hospital radiation sources.
The project of a treatment plan involves the work of medical doctors, oncologists,
biology and chemistry experts, physicists; the work of such a pool of people is
not easy to organize outside the hospital in a complicated environment such as the
one of a nuclear reactor. Moreover, also the test of new carriers or the trials on
new organs have to be inserted in the schedule of a reactor increasing times and
costs.
This thesis locates itself in the field of BNCT facing both the problems that still
limit its becoming a standard therapy. The work has been performed both at a
nuclear reactor and in a hospital environment collaborating with some of the most
important groups in Italy involved with BNCT.
The first chapter focuses on what cancer is, how it develops and how it can be
cured summarizing the three main treatment modalities (surgery, chemotherapy
and radiotherapy) and analyzing the brain cancer as an example of an illness still
without hope. The last part of the chapter concerns the rationale of BNCT, whose
ingredients are described in detail in chapter 2, which focuses both on the boron
carrier and the neutron beam.
Chapter 3 summarizes the features of a nuclear reactor neutron beam for BNCT,
describing the instruments and the procedure to characterize such a beam. In
particular, the chapter focuses on the measurements performed on the epithermal
column of the TAPIRO reactor (ENEA, Casaccia, Italy) with thermoluminescent
detectors. The data taking and analysis procedure are described in detail in order
to give an idea of the pros and cons of such non real time detectors.
Chapter 4 moves in the opposite direction, considering the development of a hospital
based BNCT beam both from the industrial point of view (presenting as an
example the proton + Li target accelerator proposed by IBA) and the completely
different approach of the PhoNeS (ProtoNeutron Source) project, which exploits
a standard radiotherapy linac producing neutrons via the Giant Dipole Resonance.
The chapter describes in detail the PhoNeS prototype and the measurements to
characterize the beam, presenting real time and innovative systems that can be
used thanks to the pulsed nature of the linac beam which allows to work in a
background free environment. The last part of the chapter is dedicated to the
application of this beam to the study of the boron concentration in biological samples
(urine and blood) to obtain the kinetic curves (that is the boron concentration
as a function of the time from the administration) for patients undergoing BNCT
treatments. This same .imaging system. has been applied to the study of another
possible organ that could bene_t of BNCT, that is the lung.
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Järhult, Susann J. "Hyperemic Brachial Artery Blood Flow Velocity". Doctoral thesis, Uppsala universitet, Medicin, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-132918.
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This thesis aims to evaluate the blood flow velocity in the Brachial artery during reactive hyperemia. Primarily to appraise the information it might contain regarding cardiovascular function and cardiovascular risk. Ultrasonographic doppler measurements of the Brachial artery were made on the 1016 men and women aged 70 included in the prospective investigation of the vasculature in Uppsala seniors (PIVUS) study. Analysis of the blood flow velocity in the forearm was made in comparison to established methods of estimating endothelial function, clinical markers of cardiovascular risk, the Framingham risk score and global atherosclerosis determined by whole body magnetic resonance angiography. Systolic blood flow velocity was positively related to cardiovascular risk whereas the diastolic velocity was inversely correlated. However, the systolic to diastolic blood flow velocity (SDFV) ratio was more closely associated with cardiovascular risk than its components apart. Ultrasonographic markers of Carotid atherosclerosis were related to the SDFV ratio. Concentric left ventricular remodeling and left ventricular mass index were also associated with the SDFV ratio, but not to its numerator or denominator separately. A similar pattern was found when assessing SDFV ratio in relation to global atherosclerosis, as well as to established markers of arterial compliance and vasodilation. In conclusion, during reactive hyperemia of the Brachial artery, the systolic to diastolic blood flow velocity ratio appears to contain information of additional value than its components separately, independently of established cardiovascular risk factors. Possibly, the SDFV ratio could offer a promising means to estimate cardiovascular risk in aging populations.PIVUS
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Ohlin, Andreas. "Aspects on early diagnosis of neonatal sepsis". Doctoral thesis, Örebro universitet, Hälsoakademin, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-11928.
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This thesis presents four studies, all designed to improve the problematic diagnostic situation concerning infants with suspected sepsis. Study I included 401 neonates with suspected sepsis. Nine signs of sepsis and C-reactive protein were prospectively recorded and logistic regression was used to assess associations between these signs and a subsequently confirmed diagnosis of sepsis. C-reactive protein and five of the clinical signs were statistically significantly associated with a positive bloodculture. When the material was stratified by gestational age, differences between premature and full term infants were detected.Studies II and III were prospective studies that used samples collected from neonates with suspected sepsis to evaluate a novel real-timepolymerase chain reaction (PCR) method. The results where compared with simultaneously collected blood cultures. Study II used plasma samples and resulted in a sensitivity of 42% and specificity of 95%. In study III, the protocol was improved and adapted to whole blood samples which resulted in a sensitivity of 79% and specificity of 90%. Both protocols included species-specific probes and study III indicated that PCR has the potential to detect bacteria in culture-negative sepsis.Staphylococcus epidermidis is the most common pathogen in neonatal sepsis, but there is still a lack of typing methods suitable for large materials of S. epidermidis. In Study IV we therefore evaluated a new S. epidermidisgenotyping method based on PCR for the repeat regions of four genes thatencode for cell wall anchoring proteins. The method was applied to 49well-defined neonatal blood isolates of S. epidermidis. The combination ofsdrF and aap seemed to be optimal, resulting in a diversity index of 0.92.Conclusions • Bradycardia, apnoea, low blood pressure, feeding intolerance and distended abdomen are obvious early signs of neonatal sepsis. Premature and full-term infants differ in terms of the signs they display in neonatal sepsis. • Blood is superior to plasma for developing PCR methods for bacterial DNA detection. The PCR method described in study III can detect neonatal bacteraemia, but it can be further improved before it is used in routine care. • There has been a lack of useful typing methods for S. epidermidis.We can now present PCR of the genes for the cell wall anchoring proteins sdrF and aap as a novel and feasible approach when there is a need to type a large number of S. epidermidis isolates.
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Martinez, Doreen Elizabeth DeVault Marjorie L. "The medicine way: Native American women's understanding and 'doing' of medicine". Related Electronic Resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2003. http://wwwlib.umi.com/cr/syr/main.
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Taylor, Kim. "Medicine of revolution : Chinese medicine in early communist China (1945-1963)". Thesis, University of Cambridge, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.621925.
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