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

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 ...

Food and water restriction lead to differential learning behaviors in a head-fixed two-choice visual discrimination task for mice.

Head-fixed behavioral tasks can provide important insights into cognitive processes in rodents. Despite the widespread use of this experimental approach, there is only limited knowledge of how differences in task parameters, such as motivational incentives, affect overall task performance. Here, we provide a detailed methodological description of the setup and procedures for training mice efficiently on a two-choice lick left/lick right visual discrimination task. We characterize the effects of two distinct...

The role of the dorsal striatum in choice impulsivity.

It has long been recognized that the dorsal striatum is an essential brain region for control of action selection based on action-outcome contingency learning, particularly when the available actions are bound to rewarding outcomes. In principle, intertemporal choice in the delay-discounting task-a validated measure of choice impulsivity-involves reward-associated actions that require the recruitment of the dorsal striatum. Here, we conjecture about ways the dorsal striatum is involved in choice impulsivity...

Whole-Body MR Imaging: The Novel, "Intrinsically Hybrid," Approach to Metastases, Myeloma, Lymphoma, in Bones and Beyond.

Whole-body MR imaging (WB-MR imaging) has become a modality of choice for detecting bone metastases in multiple cancers, and bone marrow involvement by multiple myeloma or lymphoma. Combination of anatomic and functional sequences imparts an inherently hybrid dimension to this nonirradiating tool and extends the screening of malignancies outside the skeleton. WB-MR imaging outperforms bone scintigraphy and CT and offers an alternative to PET in many tumors by time of lesion detection and assessment of treat...

The complementary role of affect-based and cognitive heuristics to make decisions under conditions of ambivalence and complexity.

Little is known about the interplay between affective and cognitive processes of decision making within the bounded rationality perspective, in particular for the debate on adaptive decision making and strategy selection. This gap in the knowledge is particularly important as affect and deliberation may direct preferences in opposite directions. How do decision makers solve such dissonance? In this paper, we address this question by exploring the use of integral affect as a choice heuristic in comparison wi...

Ethics in musculoskeletal regenerative medicine; guidance in choosing the appropriate comparator in clinical trials.

Regenerative Medicine (RM) techniques aimed at the musculoskeletal system are increasingly translated to clinical trials and patient care. This revolutionary era in science raises novel ethical challenges. One of these challenges concerns the appropriate choice of the comparator in (randomized controlled) trials, including the ethically contentious use of sham procedures. To date, only general guidelines regarding the choice of the comparator exist.

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.

Contextual valence modulates the effect of choice on incentive processing.

Previous research has demonstrated that reward-related neural activity is enhanced for choice relative to no-choice opportunities in the gain context. The current event-related potential study examined whether this modulatory effect of choice can be observed in both the gain and the loss contexts across anticipatory and consummatory phases of incentive processing. Thirty-two participants performed a simple choice task during which choices were made either by themselves (a choice condition) or by a computer ...

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 ...

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 ...

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 ...

The Utilization of Interventional Radiologic Procedures in the Surgical Management of Placenta Accreta Syndrome.

The role of Interventional radiologic procedures for the management of suspected placenta accreta spectrum (PAS) has evolved considerably over last 3 decades. In this article, the authors describe the various techniques of vascular occlusion for the management of PAS and provide a brief review of the literature examining the pros and cons in the use of these devices.

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.

Combination therapy versus monotherapy in the treatment of recalcitrant warts: A clinical and immunological study.

Treatment of recalcitrant warts represents a continuing therapeutic challenge. Combination therapies can help improve treatment response, decrease adverse effects, and reduce recurrence.

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...

Comparing low-dose bupivacaine with epidural volume extension to standard bupivacaine dosing for short obstetric procedures: a prospective, randomized study.

Intrathecal bupivacaine's long duration of action can unnecessarily increase the time to meet post-anesthesia care unit (PACU) discharge criteria for patients undergoing short obstetric procedures. We sought to use a technique known as epidural volume extension (EVE) to determine if we could provide an adequate surgical block while significantly decreasing the time required to meet PACU discharge criteria for patients undergoing short obstetric procedures.

Accounting for attention in sequential sampling models of decision making.

When making decisions, people tend to shift their attention back and forth between stimuli, choosing options that they look at more overall and immediately before their responses. These relationships, and others, are well-described by sequential sampling models that assume that evidence for a given alternative is collected over time in proportion to its subjective value, amplified by attention. Furthermore, findings from a number of studies support a causal effect of attention on choice. This research is mo...

A concurrent pictorial drug choice task marks multiple risk factors in treatment-engaged smokers and drinkers.

Concurrent choice tasks, where participants choose between a drug versus natural reward, predict dependence vulnerability in animals and humans. However, the sensitivity of concurrent choice tasks to multiple risk factors in treatment-engaged drug users has not been comprehensively tested. In experiment 1, 33 recently hospitalized smokers who were engaged with the smoking cessation service made forced choices between enlarging pictures of people smoking versus not smoking. In experiment 2, 48 drinkers who w...

Multimodal general anesthesia approach for Ex Utero Intrapartum Therapy (EXIT) procedures: two case reports.

High-dose volatile anesthesia is the most common method of achieving uterine relaxation for Ex Utero Intrapartum Therapy (EXIT) procedures. Other methods employ nitroglycerin for additional uterine relaxation with or without remifentanil for additional fetal analgesia. We report a combination approach including one minimum alveolar concentration of volatile anesthetic plus nitroglycerin and remifentanil infusions, to provide timely uterine relaxation under general anesthesia for both mother and fetus, durin...

Experiencing regret about a choice helps children learn to delay gratification.

Children (6- and 7-year-olds) decided whether to wait for a short delay to win a prize or for a longer period to win a different prize. Those who chose to take their prize after a short delay won two candies but were shown that they would have won four candies if they had waited longer. We measured whether children regretted their choice not to wait. The next day, children were faced with the same choice again. Children who regretted choosing the short delay on Day 1 were more likely to delay gratification ...

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.

Continuous In-Situ Extraction towards Multiphase Complex Systems Based on Superwettable Membrane with Micro-/Nano-Structures.

Liquid-phase-extraction is widely used in chemical industry. Traditional extracting routes always involve multiple procedures, need large floor space, and take long operating time. "Continuous in-situ extraction" that can conduct a real-time integration of solutes-extraction and solvents-separation simultaneously would be of great significance. Superwettable materials offer us a good choice to separate different immiscible solvents; herein, we achieve continuous in-situ extraction of multiphase complex syst...

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 ...

The neural basis of hand choice: An fMRI investigation of the Posterior Parietal Interhemispheric Competition model.

The current study investigates a new neurobiological model of human hand choice: The Posterior Parietal Interhemispheric Competition (PPIC) model. The model specifies that neural populations in bilateral posterior intraparietal and superior parietal cortex (pIP-SPC) encode actions in hand-specific terms, and compete for selection across and within hemispheres. Actions with both hands are encoded bilaterally, but the contralateral hand is overrepresented. We use a novel fMRI paradigm to test the PPIC model. ...

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