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Showing "Which combination procedures would your best choice provide" PubMed Articles 1–25 of 17,000+

Dissecting drug effects in preclinical models of impulsive choice: emphasis on glutamatergic compounds.

Impulsive choice is often measured with delay discounting paradigms. Because there are multiple discounting procedures, as well as different statistical analyses that can be applied to data generated from these paradigms, there are some inconsistencies in the literature regarding drug effects on impulsive choice.

Choice in the presence of experts: The role of general practitioners in patients' hospital choice.

This paper considers the micro-econometric analysis of patients' hospital choice for elective medical procedures when their choice set is pre-selected by a general practitioner (GP). GPs have a dual role with regard to elective referrals in the English NHS, advising patients and at the same time taking account of the financial implications of referral decisions on local health budgets. The paper proposes a two-stage choice model that encompasses both patient and GP level optimization. It demonstrates that e...

Positioning Patients Undergoing Orthopedic Procedures.

Positioning patients for orthopedic procedures can be a daunting experience for nurses because of the wide variety of orthopedic procedures and available positioners. Understanding what to use for a particular procedure can help perioperative nurses feel more confident and allow them to provide the safest patient care possible. This knowledge also helps avoid workflow delays because of missing or incorrect equipment. Educators or senior staff nurses can provide access to information and education that will ...

Virtual Reality as a Distraction Intervention to Relieve Pain and Distress During Medical Procedures: A Comprehensive Literature Review.

This review aims to provide a framework for evaluating the utility of virtual reality (VR) as a distraction intervention to alleviate pain and distress during medical procedures. We firstly describe the theoretical bases underlying the VR analgesic and anxiolytic effects and define the main factors contributing to its efficacy, which largely emerged from studies on healthy volunteers. Then, we provide a comprehensive overview of the clinical trials using VR distraction during different medical procedures, s...

Melioration revisited: A systematic replication of Vaughan (1981).

Organisms that behave so as to forfeit a relatively higher overall rate of reinforcement in favor of a relatively lower rate are said to engage in suboptimal choice. Suboptimal choice has been linked with maladaptive behavior in humans. Melioration theory offers one explanatory framework for suboptimal choice. Melioration theory suggests behavior is controlled by differences in local reinforcer rates between alternatives. Vaughan (1981) arranged two experimental conditions in which maximizing the overall ra...

Operator radiation doses during CT-guided spine procedures.

To perform a pilot study to quantify the radiation dose incident on operators during CT-guided interventional spine procedures, and provide a quick method to approximate it based on the total amount of radiation reported by the CT scanner.

A case report of frozen elephant trunk combined with endovascular treatment for acute aortic dissection of Kommerell's diverticulum involving right aortic arch and descending aorta.

Acute aortic dissection of Kommerell's diverticulum in the right aortic arch is extremely rare. There are several different procedures for the disease. With advances in endovascular treatment, hybrid surgical and endovascular management may provide a treatment of choice for this kind of disease.

Taxing cognitive capacities reduces choice consistency rather than preference: A model-based test.

How do people make preferential choices in situations where their cognitive capacities are limited? Many studies link the manipulation of cognitive resources to qualitative changes in preferences. However, there is a widely overlooked alternative hypothesis, namely, that a reduction in cognitive capacities leads to an increase in choice inconsistency. We developed a mathematical model and followed a hierarchical Bayesian estimation approach to test to what extent a reduction in cognitive capacities leads to...

Anaesthetic issues in robotic-assisted minimally invasive surgery.

Over the past decade there has been an exponential increase in the number of robotic-assisted surgical procedures performed in Australia and internationally. Despite this growth, there are no level I or II studies examining the anaesthetic implications of these procedures. Available observational studies provide insight into the significant challenges for the anaesthetist. Most anaesthetic considerations overlap with those of non-robotic surgery. However, issues with limited patient access and extremes of p...

Generating the perception of choice: the remarkable malleability of option-listing.

The normative view that patients should be offered more choice both within and beyond the UK's National Health Service (NHS) has been increasingly endorsed. However, there is very little research on whether - and how - this is enacted in practice. Based on 223 recordings of neurology outpatient consultations and participants' subsequent self-reports, this article shows that 'option-listing' is a key practice for generating the perception of choice. The evidence is two-fold: first, we show that neurologists ...

Safety and Efficacy of a Halobetasol/Tazarotene Fixed Combination in the Treatment of Moderate-to-Severe Plaque Psoriasis: Results of two Phase 3 randomized controlled trials.

Topical corticosteroids are the mainstay of psoriasis treatment; long-term safety concerns limit use. Combination with tazarotene may optimize efficacy, minimizing safety/tolerability concerns, In patients with moderate-to-severe plaque psoriasis treated with HP/TAZ lotion, improvement is noted within 2 weeks with few adverse effects observed after 8 weeks., HP/TAZ lotion may provide a realistic topical option for psoriasis management.

Percutaneous endoscopic lumbar discectomy and microsurgical laminotomy : A prospective, randomized controlled trial of patients with lumbar disc herniation and lateral recess stenosis.

Sufficient decompression of the nerve root canal is still regarded as the method of choice when operating on patients with lumbar disc herniation (LDH) with lumbar lateral recess stenosis; however, tissue-sparing procedures are becoming more popular. Endoscopic techniques offer advantages and the benefits of rehabilitation, which have become the standard in many surgical operations when operating on the spine. A significant issue has been the upgrading of instruments to provide enough bone resection under ...

How choice influences risk processing: An ERP study.

The current study examined how the experience of choice by which individuals exercise control modulates risk processing during the anticipatory phase as indexed by the stimulus-preceding negativity (SPN), and the consummatory phase as indexed by the feedback-related negativity (FRN) and feedback P3 (fb-P3). Twenty-four participants performed a simple gambling task during which they could win or lose either a small (a low-risk condition) or a large (a high-risk condition) amount of points by either choosing ...

General practice tasters for foundation doctors.

General practice (GP) is currently not viewed positively as a career choice, compared with other specialties, with GP training programmes struggling to fill posts. Opportunities to change this mindset in the early years of training are limited. Trainees may find themselves applying for entry into GP specialty training just 3-4 months after completing Foundation Year 1 (FY1), yet there are few GP attachments during FY1 that can provide experience of primary care and positively inform career choice.

Patient Preferences for the Treatment of Basal Cell Carcinoma: A Mapping Review of Discrete Choice Experiments.

Treatment options for skin cancer differ in several attributes including efficacy, convenience, cost, scarring, and side effects. Discrete choice experiments (DCEs) provide insight into how patients value the attributes of their treatment options.

Eye bank procedures: donor selection criteria.

Eye banks use sterile procedures to manipulate the eye, antiseptic measures for ocular surface decontamination, and rigorous criteria for donor selection to minimize the possibility of disease transmission due to corneal grafting. Donor selection focuses on analysis of medical records and specific post-mortem serological tests. To guide and standardize procedures, eye bank associations and government agencies provide lists of absolute and relative contraindications for use of the tissue based on donor healt...

Quantification and Validation of Measures for Risky and Delayed Food and Monetary Outcome Choices.

Probability discounting (PD) measures risky choice patterns between smaller, more certain vs. larger, less certain outcomes. PD is associated with obesity as well as higher intake of foods high in fat and sugar. We developed and validated a brief PD task specifically for food-related choices-the Probabilistic Food Choice Questionnaire (PFCQ). We also validated a brief, existing PD monetary measure, the Probabilistic Monetary Choice Questionnaire (PMCQ) by comparing it to a titrating PD task. Participants (N...

Recent Advances in the Surgical Management of Glaucoma in Exfoliation Syndrome.

Surgical and laser procedures traditionally used in the management of exfoliation glaucoma (XFG) include laser trabeculoplasty, trabeculectomy, and glaucoma drainage implant surgery. Having demonstrated similar safety and efficacy in XFG compared with primary open-angle glaucoma, trabeculectomy remains the most commonly performed surgery in XFG. Recent trends in practice patterns in developed nations demonstrate a shift towards glaucoma drainage implant surgery, which is currently the procedure of choice in...

Eating less or more - Mindset induced changes in neural correlates of pre-meal planning.

Obesity develops due to an imbalance between energy intake and expenditure. Besides the decision about what to eat, daily energy intake might be even more dependent on the decision about the portion size to be consumed. For decisions between different foods, attentional focus is considered to play a key role in the choice selection. In the current study, we investigated the attentional modulation of portion size selection during pre-meal planning. We designed a functional magnetic resonance task in which he...

Simultaneous Pancreas-Kidney Transplantation Versus Living Donor Kidney Transplantation Alone: an Outcome-Driven Choice?

The choice of optimum transplant in a patient with type 1 diabetes mellitus (T1DM) and chronic kidney disease stage V (CKD V) is not clear. The purpose of this review was to investigate this in more detail-in particular the choice between a simultaneous pancreas-kidney transplantation (SPKT) and living donor kidney transplantation (LDKT), including recent evidence, to aid clinicians and their patients in making an informed choice in their care.

Choice and Control Within Family Relationships: The Lived Experience of Adults With Intellectual Disability.

Increased choice and control is a driving force of current disability policy in Australia for people with disability and their families. Yet little is known of how adults with intellectual disability (ID) actually experience choice and control within their family relationships. We used interpretative phenomenological analysis of individual, semistructured interviews conducted with 8 Australian adults with ID to understand the meaning given to their experience of family support received around choice and dec...

Economic Choice as an Untangling of Options into Actions.

We propose that economic choice can be understood as a gradual transformation from a domain of options to one of the actions. We draw an analogy with the idea of untangling information in the form vision system and propose that form vision and economic choice may be two aspects of a larger process that sculpts actions based on sensory inputs. From this viewpoint, choice results from the accumulated effect of repetitions of simple computations. These may consist primarily of relative valuations (evaluations ...

Naturalistic multiattribute choice.

We study how people evaluate and aggregate the attributes of naturalistic choice objects, such as movies and food items. Our approach applies theories of object representation in semantic memory research to large-scale crowd-sourced data, to recover multiattribute representations for common choice objects. We then use standard choice experiments to test the predictive power of various decision rules for weighting and aggregating these multiattribute representations. Our experiments yield three novel conclus...

A Combination of Impulsivity Subdomains Predict Alcohol Intoxication Frequency.

Impulsivity, broadly characterized as the tendency to act prematurely without foresight, is linked to alcohol misuse in college students. However, impulsivity is a multidimensional construct and different subdomains likely underlie different patterns of alcohol misuse. Here, we quantified the association between alcohol intoxication frequency and alcohol consumption frequency and choice, action, cognitive, and trait domains of impulsivity.

Electrophysiological correlates of integrating choice and response time during sequential decision making.

Response times (RTs) can provide valuable information about a person's underlying decision processes. To investigate electrophysiological correlates of integrating choice and RTs, ERPs elicited by belief updating in long response times condition (Long-RTs) were compared with those in short response times condition (Short-RTs). In both kinds of conditions, three fictitious persons were arranged in random order (P1, P2, P3) and predicted uncertain state of world. P3 took a long time in Long-RTs condition. In ...

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