Referral and Consultation

Publication Title: 
Journal of Cardiology

BACKGROUND: Syncope is one of the most common reasons for emergency department and urgent care clinic visits. The management of syncope continues to be a challenging problem for front-line providers inasmuch as there are a multitude of possible causes for syncope ranging from relatively benign conditions to potentially life-threatening ones. In any event, it is important to identify those syncope patients who are at immediate risk of life-threatening events; these individuals require prompt hospitalization and thorough evaluation.

Author(s): 
Puppala, Venkata Krishna
Dickinson, Oana
Benditt, David G.
Publication Title: 
The Journal of the American Board of Family Practice

BACKGROUND: Sexual problems are common but infrequently diagnosed. They are classified into four major categories: (1) sexual desire disorders, (2) sexual arousal disorders, (3) orgasmic disorders, and (4) sexual pain disorders. METHODS: MEDLINE files from 1966 to the present were searched using the specific sexual dysfunctions as key words along with the general key word "sexual dysfunction" to review the published literature. Additional articles came from the reference lists of dysfunction-specific reviews.

Author(s): 
Halvorsen, J. G.
Metz, M. E.
Publication Title: 
Family Practice

BACKGROUND: Complementary medicine is increasingly popular with patients and with GPs, although it still remains mainly in the private sector. Few data are available from the private sector about patient-consulting patterns and outcome. OBJECTIVES: We aimed to describe detailed consulting patterns, help-seeking behaviour and outcome of care for patients attending a group of private complementary practitioners in a single general practice surgery.

Author(s): 
Paterson, C.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

The integration of complementary therapies within the British National Health Service (NHS) in the context of limited evidence of effectiveness has been much debated, as has the need for the provision of health services to be more evidence-based. In June 1994, a project was launched within a South-East London NHS Hospital Trust to introduce complementary therapy (acupuncture, homeopathy, and osteopathy), in the context of an evaluation program.

Author(s): 
Richardson, J.
Publication Title: 
Family Practice

BACKGROUND: Complementary medicine is increasingly popular with patients and with GPs, although it still remains mainly in the private sector. Few data are available from the private sector about patient-consulting patterns and outcome. OBJECTIVES: We aimed to describe detailed consulting patterns, help-seeking behaviour and outcome of care for patients attending a group of private complementary practitioners in a single general practice surgery.

Author(s): 
Paterson, C.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

The integration of complementary therapies within the British National Health Service (NHS) in the context of limited evidence of effectiveness has been much debated, as has the need for the provision of health services to be more evidence-based. In June 1994, a project was launched within a South-East London NHS Hospital Trust to introduce complementary therapy (acupuncture, homeopathy, and osteopathy), in the context of an evaluation program.

Author(s): 
Richardson, J.
Publication Title: 
Annals of Internal Medicine

Many patients with cancer use complementary and alternative medical (CAM) therapies. Physicians need authoritative information on CAM therapies to responsibly advise patients who seek these interventions. This article summarizes current evidence on the efficacy and safety of selected CAM therapies that are commonly used by patients with cancer. The following major categories of interventions are covered: dietary modification and supplementation, herbal products and other biological agents, acupuncture, massage, exercise, and psychological and mind-body therapies.

Author(s): 
Weiger, Wendy A.
Smith, Michael
Boon, Heather
Richardson, Mary Ann
Kaptchuk, Ted J.
Eisenberg, David M.
Publication Title: 
Musculoskeletal Care

OBJECTIVES: To document physiotherapy provision for patients with knee osteoarthritis (OA) in relation to the United Kingdom (UK) recently published National Institute of health and Clinical Excellence (NICE) guidelines for osteoarthritis. DESIGN: Questionnaire survey of chartered physiotherapists. METHOD: 300 postal questionnaires were distributed to Physiotherapy Departments requesting information regarding source of referrals, treatment aims, preferred methods of treatment and service delivery.

Author(s): 
Walsh, Nicola E.
Hurley, Michael V.
Publication Title: 
Acupuncture in Medicine: Journal of the British Medical Acupuncture Society

BACKGROUND: In trials, 'therapist intensive' complex interventions are typically delivered over time, during which a relationship between the practitioner and participant may develop. Such relationships are sometimes criticised as obscuring any 'true' treatment effect. Limiting interactions is one strategy that might be used to try to control for the effect of a therapeutic relationship.

Author(s): 
Prady, Stephanie L.
Burch, Jane
Crouch, Simon
MacPherson, Hugh
Publication Title: 
Otolaryngology--Head and Neck Surgery: Official Journal of American Academy of Otolaryngology-Head and Neck Surgery

OBJECTIVE: Allergic rhinitis (AR) is one of the most common diseases affecting adults. It is the most common chronic disease in children in the United States today and the fifth most common chronic disease in the United States overall. AR is estimated to affect nearly 1 in every 6 Americans and generates $2 to $5 billion in direct health expenditures annually. It can impair quality of life and, through loss of work and school attendance, is responsible for as much as $2 to $4 billion in lost productivity annually.

Author(s): 
Seidman, Michael D.
Gurgel, Richard K.
Lin, Sandra Y.
Schwartz, Seth R.
Baroody, Fuad M.
Bonner, James R.
Dawson, Douglas E.
Dykewicz, Mark S.
Hackell, Jesse M.
Han, Joseph K.
Ishman, Stacey L.
Krouse, Helene J.
Malekzadeh, Sonya
Mims, James Whit W.
Omole, Folashade S.
Reddy, William D.
Wallace, Dana V.
Walsh, Sandra A.
Warren, Barbara E.
Wilson, Meghan N.
Nnacheta, Lorraine C.
Guideline Otolaryngology Development Group. AAO-HNSF

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