Make a CHANGE: optimising communication and pain management decisions

Optimising the management of fever and pain in children.

Fever and pain in children, especially associated with infections, such as otitis media, are very common. In paediatric populations, ibuprofen and paracetamol (acetaminophen) are both commonly used over-the-counter medicines for the management of fever or mild-to-moderate pain associated with sore throat, otitis media, toothache, earache and headache. Widespread use of ibuprofen and paracetamol...

Optimising repeat prostate biopsy decisions and procedures.

What's known on the subject? and What does the study add? Due to the fear of missing clinically significant cancer, it is often uncertain whether a repeat biopsy should be performed in men with ≥ 1 prior negative prostate biopsies but persistent suspicion of prostate cancer. However, the repeat biopsy may again be negative and a biopsy may be associated with anxiety, discomfort and complication...

RACTICE Make Better Decisions

A CEO seeks benchmarks. Helping operational leaders make good funding decisions requires candid and ongoing communication.

BY WILLIAM VICTOR TROGDON, M.Div., BCC Mr. Trogdon is director, pastoral care, St. Mary's Health System, Evansville, Ind. Outside a winter storm has developed into a state of emergency for the tri-state area, leaving hundreds of thousands of people without electricity in their homes. Around the world an economic crisis has become one of the focal points for the new presidential administration. ...

How to Diagnose Arterial and Venous Ulcers and Make Good Medical Decisions

چگونگی مراقبت از یک زخم مزمن اغلب به علت آن بستگی دارد. برای مثال زخم های پا ممکن است در اثر بیماریهای شریانی و یا وریدی بوجود آیند. هر چند زخم های مزمن پا به دلایل متعددی بروز می کنند ولی اختلال در گردش خون شایعترین علت می باشد. اخذ تصمیمات مهم درمانی از قبیل درمان با استفاده از فشار و یا درمان تهاجمی جهت رفع عفونت همگی بستگی به این دارد که منشاء زخم شریانی است با وریدی .