In this article the concept of "net clinical benefit" (NCB) is considered in context stroke, role direct oral anticoagulants secondary prevention cardioembolic stroke and NCB from their prescription. Practical aspects evaluation neurologist's point view are presented, taking into account such factors as duration severity, features neurological deficit (severity residual limitations, dysphagia, ...

to achieve tight glycemic control in diabetic patients, it may be necessary to introduce insulin therapy much earlier in the disease course. poor glycemic control is a risk factor for the development of diabetic complications. many patients require insulin therapy after several years of disease in order to maintain good glycemic control and prevent complications. but many patients do not receiv...

The perioperative environment is a high-risk and complex area the provision of safe, high-quality surgical care requires multifaceted approach provided by multidisciplinary health teams. However, it reported that nature teams can present barriers to patient safety through ineffective teamwork, collaboration and/ or communication. Multidisciplinary simulation training creates realistic situation...

The authors conducted a study on children undergoing treatment at major school refusal treatment centers in Hiroshima Prefecture. On the whole, school refusal in the prefecture was found to peak between 13 and 14 years of age. By age group, the main reason for school refusal in elementary school group was parent-child relationship with separation anxiety. Given additional problems such as negle...

Making decisions in the context of risk is an integral part of psychiatric work. Despite this, decisionmaking skills are rarely systematically taught and the processes behind decisions are rarely made explicit. This article attempts to apply contemporary evidence from cognitive and social psychology to common dilemmas faced by psychiatrists when assessing and managing risk. It argues that clini...